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目的探讨高危新生儿与低血糖的关系。方法通过对146例高危新生儿血糖监测,分析胎龄、体重、母亲高危因素、出生过程高危因素、新生儿原发/伴发疾病与低血糖的关系。结果 146例高危儿中低血糖有26例,低血糖发生率17.8%。胎龄越小低血糖发生率越高,差异有统计学意义(P<0.05)。低出生体重儿、巨大儿低血糖发生率高于正常出生体重儿,差异有统计学意义(P<0.05)。母亲糖尿病、母亲高血压、羊水污染、胎膜早破、低体温、酸中毒、窒息的新生儿低血糖发病率较高。结论高危儿应重视出生后早期血糖监测,积极控制血糖水平,避免低血糖对脑组织造成不可逆的损伤。
Objective To explore the relationship between high-risk neonates and hypoglycemia. Methods 146 cases of high-risk neonatal blood glucose monitoring, analysis of gestational age, weight, risk factors of maternal, high risk factors of birth, neonatal / companion disease and hypoglycemia. Results 146 cases of high-risk infants with hypoglycemia in 26 cases, the incidence of hypoglycemia 17.8%. The smaller the gestational age, the higher the incidence of hypoglycemia, the difference was statistically significant (P <0.05). The incidence of hypoglycemia in children with low birth weight was higher than that of normal birth weight, the difference was statistically significant (P <0.05). Mothers with diabetes, maternal hypertension, amniotic fluid contamination, premature rupture of membranes, hypothermia, acidosis, asphyxia neonates with a higher incidence of hypoglycemia. Conclusion High-risk infants should pay attention to early postnatal blood glucose monitoring, and actively control blood sugar levels, to avoid hypoglycemia caused irreversible damage to brain tissue.